Healthcare Provider Details

I. General information

NPI: 1154357374
Provider Name (Legal Business Name): BRINKLEY DRUG COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

129 W CYPRESS ST
BRINKLEY AR
72021-2833
US

IV. Provider business mailing address

129 W CYPRESS ST
BRINKLEY AR
72021-2833
US

V. Phone/Fax

Practice location:
  • Phone: 870-734-2344
  • Fax: 870-734-4115
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberAR12469
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: CARLA MEYERS
Title or Position: PRESIDENT
Credential: PD
Phone: 870-734-2344